Background
Methods
Study population
Lazio region HIS
Data source
Definition of variables
Tumor size
TNM staging system
Severity indicator (SI) based on the HIS diagnosis
Categories | description | primary diagnosis | secondary diagnosis |
---|---|---|---|
ICD9 -CM codes
| |||
1
| In situ tumors | 233.0 | - |
2
| Localized tumors | 174.0 – 174.9 | - |
3
| Non-localized tumors | 174.0 – 174.9; 233.0 | 196 |
4
| Metastatitc tumors | 174.0 – 174.9; 233.0 | 197; 198 |
-
conservative surgery for tumors up to 2 cm (for at least 80% of cases);
-
Halsted mastectomy only for tumors that have infiltration of the thoracic wall;
-
radical excision of auxiliary lymph nodes (or possibly the search for sentinel lymph nodes in accredited hospitals) in all cases except for tumors in situ.
pT | Surgery procedures | Linfoadenectomy | Stage | SI | |
---|---|---|---|---|---|
Under-treatment | |||||
T1 T2 T3 | 85.2* | no | I IIa IIb IIIa IIIb IV | 2 3 4 | |
Case a) | T1 T2 T3 | 85.41–85.42 | no | I IIa IIb IIIa IIIb IV | 2 3 4 |
T2 T3 | 85.2* | yes | IIa IIb IIIa IIIb | 3 4 | |
T4 | 85.2*, 85.41–85.44 | IIIb | 4 | ||
Over-treatment
| |||||
Tis | 85.4* | yes | 0 | 1 | |
Tis | 85.2* | yes | 0 | 1 | |
Case b) | T1 T2 T3 | 85.45–85.48 | I IIa IIb IIIa IIIb | 2 3 | |
T1§ | 85.41–85.44 | I | 2 |
Data analysis
Results
pT | TNM | SI | ||||||
---|---|---|---|---|---|---|---|---|
n
|
%
|
n
|
%
|
n
|
%
| |||
Tis
| 11 | 2.8 |
0
| 13 | 3.4 |
1
| 15 | 3.9 |
T0
| 2 | 0.5 |
I
| 146 | 37.7 |
2
| 257 | 66.4 |
T1
| 186 | 48.1 |
II
| 131 | 33.9 |
3
| 102 | 26.4 |
T2
| 97 | 25.1 |
III
| 40 | 10.3 |
4
| 2 | 0.5 |
T3
| 7 | 1.8 |
IV
| 4 | 1.0 |
missing
| 11 | 2.8 |
T4
| 31 | 8.0 |
missing
| 53 | 13.7 |
missing
| 53 | 13.7 |
total
|
387
|
100
|
total
|
387
|
100
|
total
|
387
|
100
|
Under treatment | ||||||||
---|---|---|---|---|---|---|---|---|
pT | ||||||||
yes
|
no
|
tot
| ||||||
n | col% | row% | n | col % | row% | |||
SI
|
yes
| 55 |
58,5
|
67,1
| 27 |
11,3
|
32,9
| 82 |
no
| 39 |
41,5
|
47,6
| 213 |
88,8
|
84,5
| 252 | |
tot
| 94 |
100,0
| 240 |
100,0
| 334 | |||
pT
| ||||||||
yes
|
no
|
tot
| ||||||
n | col% | row% | n | col % | row% | |||
TNM
|
yes
| 91 |
96,8
|
77,8
| 26 |
10,8
|
22,2
| 117 |
no
| 3 |
3,2
|
1,4
| 214 |
89,2
|
98,6
| 217 | |
tot
| 94 |
100,0
| 240 |
100,0
| 334 | |||
Over treatment
| ||||||||
pT
| ||||||||
yes
|
no
|
tot
| ||||||
n | col% | row% | n | col % | row% | |||
SI
|
yes
| 15 |
88,2
|
78,9
| 4 |
1,3
|
21,1
| 19 |
no
| 2 |
11,8
|
0,6
| 313 |
98,7
|
99,4
| 315 | |
tot
| 17 |
100,0
| 317 |
100,0
| 334 | |||
pT
| ||||||||
yes
|
no
|
tot
| ||||||
n | col% | row% | n | col % | row% | |||
TNM
|
yes
| 17 |
100,0
|
94,4
| 1 |
0,3
|
5,6
| 18 |
no
| 0 |
0,0
|
0,0
| 316 |
99,7
|
100,0
| 316 | |
tot
| 17 |
100,0
| 317 |
100,0
| 334 |
Si calculated from HIS data | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
ca in situ | localized | not-localized | matastatic | total | ||||||
n
|
%
|
n
|
%
|
n
|
%
|
n
|
%
|
n
| ||
SI calculated from CC
|
ca in situ
| 1 |
11,1
| 14 |
4
| 0 |
0
| 0 |
0
| 15 |
localized
| 5 |
57
| 240 |
75
| 10 |
24
| 0 |
0
| 255 | |
not-localized
| 3 |
33
| 67 |
21
| 31 |
76
| 0 |
0
| 101 | |
metastatic
| 0 |
0
| 0 |
0
| 0 |
0
| 2 |
100
| 2 | |
total
| 9 |
100
| 321 |
100
| 41 |
100
| 2 |
100
| 373 |